26027382-1.pdf

PDF 20 KB Posted Nov 21, 2025

Attached to: Term TX|645-S1|17419760511|26027382
Contract number: 26027382
Issued by: Texas

About this file

Written by GovTribe AI · Nov 24, 2025

This document is a Purchase Order Change Notice (PO No. 26027382) issued by the Texas Department of State Health Services, specifically the Immunization Tower, to WorkQuest, Inc., a contractor based in Austin, Texas. The purchase order is dated 11/21/2025 and has an internal tracking number of 0000390471. The document involves the Statewide Procurement Division of the Texas Comptroller of Public Accounts and appears to be a modification to an existing contract.

The purchase order covers multiple office supplies, including self-stick note pads, trash can liners, transparent tape, dry erase markers, and bond paper. The total order value is $2,462.94, with individual line items ranging from $18.18 to $2,273.70. Each item is associated with a specific contract (e.g., Contract 615-S1, 485-S1) and has a standard delivery timeframe of 14-20 days after receipt of order (ARO). The order includes an inside delivery charge of $1.00 per case and specifies detailed shipping instructions to Rhoda Gilmore at the Immunization Tower, Room 310. All items are to be delivered by December 11, 2025, and require a packing list showing the purchase order number and contact information.

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Purchase Order Change Notice PO No. 26027382

Order Date: 11/21/2025

Internal Tracking No.: 0000390471

Contractor Info Bill To Ship To WorkQuest, Inc.

17419760511 1011 East 53 1/2 Street Austin, TX 78751

(512) 451-8145

PO BOX 149347

Fiscal Division/Accounts Payable

AUSTIN TX 78714-9347

ATTN Rhoda Gilmore1111 W North Loop, Austin, TX 78756Immunization Tower, Room 310 Contact Rhoda Gilmore

NOTE TO CONTRACTOR:

11/21 PER VENDOR INSIDE DELIVERY $1.00/CASE ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000390471 AND ATTN CONTACT INFO ***SHIP TO ATTN Rhoda Gilmore 737-270-0477 Rhoda.Gilmore@dshs.texas.govREQUESTER Soto,Gabriela 512-648-7442 gabriela.soto@dshs.texas.govImmunization Tower, Room 310 Contact Rhoda Gilmore**Send invoices to Invoices@dshs.texas.gov

11/21/2025-11/21 PER VENDOR INSIDE DELIVERY $1.00/CASE ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000390471 AND ATTN CONTACT INFO ***SHIP TO ATTN Rhoda Gi lmore 737-270-0477 Rhoda.Gilmore@dshs.texas.govREQUESTER Soto,Gabriela 512-648-7442 gabriela.soto@dshs.texas.govImmunization Tower, Room 310 Contact Rhoda Gilmore**Send invoices to Invoices@dshs.texas.gov

REVISION HISTORY:

PO Revision #: 1 PO Change Reasons (Aggregated):11/21/2025 1:16 pm-Contractor note changed ***PACKING LIST REQUIRED TO SHOW PO

NUMBER 0000390471 AND ATTN CONTACT INFO ***

SHIP TO ATTN Rhoda Gilmore 737-270-0477 Rhoda.Gilmore@dshs.texas.gov

REQUESTER Soto,Gabriela 512-648-7442 gabriela.soto@dshs.texas.gov

Immunization Tower, Room 310 Contact Rhoda Gilmore

**Send invoices to Invoices@dshs.texas.gov to: 11/21 PER VENDOR INSIDE DELIVERY $1.00/CASE ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000390471 AND ATTN CONTACT INFO ***SHIP TO ATTN Rhoda Gilmore 737-270-0477 Rhoda.Gilmore@dshs.texas.govREQUESTER Soto,Gabriela 512-648-7442 gabriela.soto@dshs.texas.govImmunization Tower, Room 310 Contact Rhoda Gilmore**Send invoices to Invoices@dshs.texas.gov

11/21/2025 1:16 pm-Change to Line 5: Attatchment changed changed to: 0

11/21/2025 1:16 pm-Change to Line 6: Line note has changed from: to: 11/21 PER VENDOR INSIDE DELIVERY $1.00/CASE

11/21/2025 1:16 pm-Change to Line 6: Rate has changed from: 45 to: 30

Disclaimer The State of Texas is exempt from all Federal Excise Taxes except as noted in each contract.

STATE AND CITY SALES TAX EXEMPTION CERTIFICATE:

The undersigned claims an exemption from taxes under Texas Tax Code, Section 151.309(4), for purchase of tangible personal property described in this numbered order, purchased from contractor and/or shipper listed above, as this property is being secured for the exclusive use of the State of Texas, or a Texas County, City, Special District, or Other Political Subdivision.

Texas Comptroller of Public Accounts – Statewide Procurement Division

Agency/CO-OP Member Purchaser Email Phone

Order Date: 11/21/2025

Internal Tracking No.: 0000390471

Dept Of State Health Services -

Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

1 61562 61562383601 Self Stick Note Pad, 3" X 3", Neon, 100 Sheets/Pad, 6 Pads/Pk, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: Fri Dec 05 2025

00:00:00 GMT-0800 (PST)

Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rhoda Gilmore 7 3 7 - 2 7 0 - 0 4 7 7 Rhoda.Gilmore@dshs.texas.gov REQUESTER Soto,Gabr ie la 5 1 2 - 6 4 8 - 7 4 4 2 gabriela.soto@dshs.texas.gov Immunization Tower, Room 310

MPN: 61562383601

Manufacturer Name: 3M

7 PACK 8.24 $57.68

2 48505 48505115024 Bag, Trash Can Liner, HDPE 16 MIC, 40-45 Gallon - Clear, Plus Freight Total Order all Liners less than $500 Contract: 485-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: Fri Dec 05 2025

00:00:00 GMT-0800 (PST)

Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rhoda Gilmore 7 3 7 - 2 7 0 - 0 4 7 7 Rhoda.Gilmore@dshs.texas.gov REQUESTER Soto,Gabr ie la 5 1 2 - 6 4 8 - 7 4 4 2 gabriela.soto@dshs.texas.gov Immunization Tower, Room 310

2 CASE 27.17 $54.34

Order Date: 11/21/2025

Internal Tracking No.: 0000390471

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

3 83220 83220111 Tape, Transparent, Dispenser, 3/4" X 1296", Core 1", Multi-Purpose Contract: 832-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: Fri Dec 05 2025

00:00:00 GMT-0800 (PST)

Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rhoda Gilmore 7 3 7 - 2 7 0 - 0 4 7 7 Rhoda.Gilmore@dshs.texas.gov REQUESTER Soto,Gabr ie la 5 1 2 - 6 4 8 - 7 4 4 2 gabriela.soto@dshs.texas.gov Immunization Tower, Room 310

MPN: 83220111

Manufacturer Name: Skilcraft

12 EACH 2.42 $29.04

4 62086 62086509254 Markers, Dry Erase, Chisel Tip, 8 Color/Set, Plus Freight Order Less Than $25 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: Fri Dec 05 2025

00:00:00 GMT-0800 (PST)

Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rhoda Gilmore 7 3 7 - 2 7 0 - 0 4 7 7 Rhoda.Gilmore@dshs.texas.gov REQUESTER Soto,Gabr ie la 5 1 2 - 6 4 8 - 7 4 4 2 gabriela.soto@dshs.texas.gov Immunization Tower, Room 310

2 SET 9.09 $18.18

Order Date: 11/21/2025

Internal Tracking No.: 0000390471

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

5 64521 64521411718 Paper, Bond, Recycled, White, Premium No. 4, 20 Lb., 8-1/2" X 11", 500 Sheets/Pkg, 10 Pkgs/Crtn, Freight Included. Qty Price Breaks At 10, 40, 200, 400, And 800 Cartons.

Contract: 645-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: Thu Dec 11 2025

00:00:00 GMT-0800 (PST)

Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rhoda Gilmore 7 3 7 - 2 7 0 - 0 4 7 7 Rhoda.Gilmore@dshs.texas.gov REQUESTER Soto,Gabr ie la 5 1 2 - 6 4 8 - 7 4 4 2 gabriela.soto@dshs.texas.gov Immunization Tower, Room 310 Manufacturer Name: Skilcraft

30 CRTN 75.79 $2,273.70

6 64521 64521411718 Inside Delivery Charge Notes: 11/21 PER VENDOR INSIDE

DELIVERY $1.00/CASE

1 EACH 30.00 $30.00

Total $2,462.94

File details come from the government source that posted it. Updated Nov 24, 2025.